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麻煩請院長跟衛福部長麻煩再請總院長衛福部長備詢"},{"start":36.915,"end":57.204,"text":"陳委員好院長好我想今天接下來的前三個問題大概都跟台東地形狹長有關係台東大概全長176公里南北距離這麼長而且人口居住的型態都是比較分散的所以台東需要有更精緻化的公共服務"},{"start":59.745,"end":87.95,"text":"就今天我想就拖音跟長照的部分我們先來討論那行政院在這禮拜二有宣布了0到18歲全程支持計劃面對少子化的問題希望透過各項政策減輕來協助減輕家庭育兒的負擔提高生育率那這個部分其實這幾天我連甚至聽到這個國民黨的議員們在地方也都是大力的站下那依照這個統計呢"},{"start":89.13,"end":113.839,"text":"我們台東0到20歲的嬰幼兒每個鄉鎮都有數十個甚至上百個但是台東的托嬰中心公視力共有十家那九間全部集中在台東市南回的話則是有一間弱性托嬰中心在京豐是在去年4月份的時候開始啟用的那其他的鄉鎮則是完全都沒有托嬰中心所以如果我們以長濱來看"},{"start":116.08,"end":139.365,"text":"他們如果要把嬰幼兒送託的話從長濱到台東市的托嬰中心最遠的距離有95公里這麼遠而正谷縣的鄉鎮未來可能慈善路也今年或明年應該會成立因為經費也協助他們爭取到了但是目前的話是完全沒有的"},{"start":141.06,"end":163.879,"text":"所以這些鄉鎮的這個家庭當中如果有嬰幼兒除了自己帶以外呢再當然就是要找保母了那麼我們政府在解決少子化的問題建立友善的這個托育環境是最基本的支持跟協助如果每個鄉鎮呢都來建置這個托嬰中心的話每個鄉鎮的需求量它多寡是不一的"},{"start":164.58,"end":183.846,"text":"所以我們是不是可以來在台東我們來發展這個公共家園小型托嬰的服務這個公共家園的小型托嬰服務它需要的規模呢沒有很大那經費呢就是說或許也相對比較少"},{"start":184.246,"end":207.444,"text":"因為不需要再去蓋建築物我們可以透過閒置的公共空間由公辦民營的方式以四位托育人員照顧12名嬰幼兒差不多這樣的規模我有請衛福部來盤點資料台東目前附設幼兒園的國小總共有37間"},{"start":209.225,"end":227.474,"text":"只要學校有閒置空間我們就可以來規劃讓幼兒園照顧的學齡向下衍生增加0到2歲的托嬰中心我想要請教院長中央是不是可以來積極協助我們台東推辦公共家園的小型托嬰服務"},{"start":228.752,"end":255.249,"text":"好 謝謝委員我們在行政院即將要完成的台灣人口對策新戰略的向下我們除了大家關心的0到18歲每月5000元這是在安心生養這個面向底下我們另外還有一個面向是強化托育強化托育有幾個目前包括我們已經在做的各種托嬰托育的機構我們會希望能夠廣設目前我們這個機構還是量能不足另外我們希望"},{"start":256.409,"end":282.507,"text":"補助協助企業能夠廣設另外也希望政府的公部門單位能夠設但這些對台東來講都不見得適用得到所以我們另外對偏鄉還應該有更加強的一個設備因為企業不可能在那邊設很多那公部門也有限再來除了不足之外更嚴重的還有一個是不均地理上的不均衡所以我們應該對偏鄉要重新還有一個細部的規劃謝謝委員的提醒"},{"start":283.027,"end":310.693,"text":"是 所以這個部分因為特別是院長點出一個很重要的問題我們台東其實企業也沒有那麼多然後相對比較小型一點所以這個部分是不是本席剛剛前面建議的那是不是可以由這個中央全額來補助開辦費提供給我們台東人人力的協助那幫忙台東推動這個公共家園小型拖鷹服務這個部分馬上可以想像就是把一個國小"},{"start":311.693,"end":330.371,"text":"還有他的幼兒園拓荫中心把它合起來為一利用現有的國小的設備或現有的教育資源能夠補充一些師資增加一些設備那麼也從經費上來著以相當的考量是不是能夠就這樣子把每個地區至少基本的量能給它建構起來"},{"start":331.485,"end":354.613,"text":"對我們有相當迫切的需求這就是說公共的家園的概念也許這樣也能完成謝謝院長的大力支持那其實我在三月的時候這個議題當然我在未還委員會也有質詢這個題目那部長也非常的支持那麼也希望衛福部能夠盡速來協助台東盤點各鄉市的托嬰需求"},{"start":356.013,"end":373.394,"text":"因為我的理解衛福部應該已經是就是說他仍然在很積極的盤點當中那因為大概我算了一下三月到現在應該今天下午就可以回報我們辦公室了那也希望衛福部可以積極的來溝通協調"},{"start":375.276,"end":388.915,"text":"那確定可以就是說這37所學校釋出閒置教室的意願以及這個各鄉鎮托嬰的需求那我們盡快來促成開辦第一間在台東的小型托嬰服務的這個公共家園的部分"},{"start":389.346,"end":412.242,"text":"好 沒有問題 我們會儘速來推動就是以現有的這一些已經有膚色幼兒園的優先因為他失職已經在了 只是把年齡再往下延伸這個部分我們會優先來處理是 那盤點的部分應該下午再請同仁跟我們回報我們會請教育部來協助這個事情跟地方政府都要來共同協助"},{"start":412.674,"end":431.259,"text":"好 謝謝那另外提到少子化的議題在這個提升生育率的問題那現在這個年輕人其實真的很可憐就像一塊三明治被夾在中間這個焦頭爛額啦因為要照顧孩子還要照顧老人照顧父母那"},{"start":432.179,"end":455.727,"text":"我們要讓年輕人趕婚趕生趕養以外我們就是要協助小朋友的托育問題之外還有一個非常重要的一環就是長輩的照顧我們來看一下這是我們歷年長照的經費2016年之前長照10年的時候長照的年度預算只有45億在2016年我回到立法院的時候當時小英總統"},{"start":457.148,"end":463.297,"text":"我們也跟著很多的立委同仁一起努力推動長照2.0在這8年當中長照預算成長了20倍那2026年進入長照3.0之後我們年度預算"},{"start":472.23,"end":492.959,"text":"又已經破了千億元1100多億那台東的這個關懷據點呢還有文建站從2016年從原本的44站在這10年當中我們現在台東已經總共有217站了這個是政府對於這個老人照顧的這個用心跟重視那"},{"start":493.639,"end":515.883,"text":"但是我們進入這個長照3.0之後呢我覺得這個長輩照顧的政策一定還要再有所精進跟調整尤其在我們地形狹長的台東這是目前台灣大多數長照住宿式機構的樣子明亮乾淨這是一個比較大型集體式的生活"},{"start":516.243,"end":533.38,"text":"那就是很多住宿式機構的老人他們休閒活動時的情形是一個大型團體式的形態那麼在這個制式化的生活當中這樣的住宿式機構規劃大部分都是七八十床甚至上百床"},{"start":533.88,"end":555.32,"text":"那如果床數沒有那麼多的話這個機構可能就會虧損甚至就倒閉關起來那這個也就是台東為什麼這個長濱一直都沒有辦法有這個住宿是長道機構的問題那另外台東總共有16個鄉鎮除了台東市關山大武以外呢其他的這個住宿是資源不足的地區也就是說"},{"start":556.601,"end":584.167,"text":"其他13個鄉鎮的長者如果他有住宿式的這個需求照顧的需求的話呢就要離鄉背井離開自己的這個長年居住的地方那我想在這邊跟院長分享一個老人照顧的模式叫做這個共生之家那麼這個共生之家在日本呢已經推行多年的照顧模式他們需要的建築物呢就像一般民宅一樣透過政府公辦民意的方式將一般民宅規劃成"},{"start":585.907,"end":601.837,"text":"大概規模四到五人的這個老人居住的空間我們看一下這是日本共生之家長者居住的房間就像住在家裡一樣那這個是他們在屋內互動的情形"},{"start":603.278,"end":620.957,"text":"可以在互相陪伴的空間生活當中自然互動的照顧之下提升長者的生活品質跟身心健康尤其他們可以在自己熟悉的環境熟悉的社區甚至熟悉的部落裡面可以相當有尊嚴的"},{"start":622.819,"end":642.469,"text":"來被照顧這才是一個真正在地老化在地照顧的一個長照服務的模式那而不是說還要離自己原本很熟悉就是住了很久的地方還要移到這麼遠的這個住宿式機構裡面在一個很制式的被安排被照顧的"},{"start":643.81,"end":672.363,"text":"方式來生活那我不曉得就是說院長對於這樣子的建議這樣的模式看法如何好謝謝委員委員剛剛有提到一百一十五年度我們的長照計畫一千一百五十三億不比以前的光比去年就增加了將近百分之二十五所以一年當中我們增加很多因為政府看到這個這個方面的需求但是如果讓他更廣泛的涵蓋更多的地方不是"},{"start":673.303,"end":687.447,"text":"用多少的錢就馬上可以做到的必須想出一個方法委員我知道一直在提供這個所謂共生的家庭就是政府來協助地方商能夠租一個房子租一個適當的建物那聘僱一些專業的造福員進來照顧這些長者"},{"start":690.368,"end":717.963,"text":"讓它成為一個居家醫療居家服務的延伸我認為這個策略這個想法會讓我們在這麼大的長照的預算當中更快去把做地方做更多的均衡我覺得這個創意是很好的我也希望能夠衛部從這個方向講在偏鄉能夠採取這樣的方式可以增加我們含量率的速度因為還是提到回到這個我們台東地形狹長的問題所以是不是我們我在這裡爭取啦我可以從我們台東先優先來試辦"},{"start":719.805,"end":745.365,"text":"跟委員說明其實我們從這個三四月的時候就一直在跟之前有民間在試做了只是一直沒有納入我們的長照體系那共生宅確實在資源比較不足它不足以形成一定的經濟規模所以住宿式的機構不足的地方我們會優先來試辦所以我們在討論裡面大概有兩個優先試辦的地方一個是原鄉原住民族地區"},{"start":746.107,"end":763.702,"text":"那麼因為我們的族人也比較有這種從以前就有比較互助的精神第二個就是缺乏的誘因這個地方的規模不夠經濟規模不夠不足以有這個住宿司機構建立的地方我們會優先來試辦應該今年就會有試辦的計畫出來現在已經開了幾次會議了"},{"start":768.806,"end":796.095,"text":"有一個條件必須找到一個適合的地點委員對台東的地區非常的了解最近就緊走於這個基層如果委員有發現適當的地點我們來做充分的合作將台東來作為一個示範的地區請委員來幫忙好 謝謝那另外就是說要提到因為許多的衛生所肩負偏鄉離島醫療的重責大任特別台東也是這樣的情形"},{"start":796.855,"end":821.943,"text":"那雖然我們一般這個鋼筋混凝土建築的使用年限大概有五六十年那其實很多的建築特別是靠海的那超過四十年之後很多可能都出現這個耐震不足 牆面均裂還有管線老舊的問題那早期的工法 建築工法跟現在技術有相當的落差那特別甚至還有早期還有很多海沙屋的情況"},{"start":823.864,"end":846.204,"text":"加上台東很多靠海的衛生所像泰瑪里、蘭嶼受到海豐沿海的影響建物老化的情況很嚴重台東的衛生所跟都會區的衛生所有很大的差異因為偏鄉衛生所同時都要肩負醫療的服務項目所以我們"},{"start":847.124,"end":867.63,"text":"衛生所在偏鄉扮演的角色是相當重要那台東有16個衛生所很多的衛生所建築都相當老舊將近有一半這個屋齡其實都是像30到39年關山海端碑南東河那再來就是超過40年以上的這個鹿野太麻里延平"},{"start":868.73,"end":896.41,"text":"衛生所這個都很需要來重建或者是耐震補強甚至這個空間整修裝潢所以我在這裡希望中央可以支持就是我們這些老舊的衛生所重建以及整修那這個部分我們是不是在特別是從這個屋齡40年以上我們可以優先來處理這樣子好"},{"start":898.007,"end":917.185,"text":"跟委員說明我們也有跟衛生局去溝通所以由衛生局先去盤點那麼當然這個屋齡是一個考量另外屋況也很重要就是當時候它的建築到目前為止那麼它的老舊程度跟安全程度這個都會一併要入考慮那目前看起來"},{"start":917.745,"end":942.333,"text":"盤點之後大概有五家啦會優先自列為這個優先要改建或者是重建的我們會來這個優先支持好 謝謝那我在這裡快速給院長一個數字就是我們勞動部根據這個勞工健康保護規則事業單位大概要300人300人呢"},{"start":945.073,"end":962.436,"text":"9到50到300元 中間大概是9000元左右那目前呢 至少有5300萬位甚至到1萬9000元左右反正職場也不大造成從這個中間的經濟不一定會有差距"},{"start":978.654,"end":978.954,"text":"好 謝謝好 謝謝"},{"start":993.2,"end":998.59,"text":"好 謝謝請行政部門書面答覆陳議員所提的資料"}],"gazette":[{"speaker":"陳委員瑩","start":"2026-05-26T11:05:35.791000+08:00","guessed":false,"end":"2026-05-26T11:05:39.817000+08:00","text":"謝謝主席，麻煩請院長跟衛福部長。","quality":1},{"speaker":"主席","start":"2026-05-26T11:05:39.817000+08:00","guessed":false,"end":"2026-05-26T11:05:41.259000+08:00","text":"麻煩再請卓院長、衛福部長備詢。","quality":0.923},{"speaker":"卓院長榮泰","start":"2026-05-26T11:05:53.915000+08:00","guessed":false,"end":"2026-05-26T11:05:54.095000+08:00","text":"陳委員好。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:05:54.735000+08:00","guessed":false,"end":"2026-05-26T11:05:55.136000+08:00","text":"院長好。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:05:56.556000+08:00","guessed":false,"end":"2026-05-26T11:06:14.204000+08:00","text":"今天接下來前三個問題大概都跟臺東地形狹長有關係，臺東大概全長176公里，南北距離這麼長，而且人口居住的型態都是比較分散的，所以臺東需要有更精緻化的公共服務。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:06:17.165000+08:00","guessed":false,"end":"2026-05-26T11:06:43.049000+08:00","text":"今天我想就托嬰跟長照的部分先來討論，行政院在這個禮拜二宣布了0到18歲全程支持計畫，面對少子化的問題，希望透過各項政策協助減輕家庭育兒的負擔，提高生育率，這個部分其實這幾天我甚至聽到在地方國民黨的議員們也都是大力的「贊聲」。","quality":0.911},{"speaker":"陳委員瑩","start":"2026-05-26T11:06:44.690000+08:00","guessed":false,"end":"2026-05-26T11:07:09.219000+08:00","text":"依照統計，我們臺東0到2歲的嬰幼兒每個鄉鎮都有數十個、甚至上百個，但是臺東的托嬰中心公私立共有10家，其中有9間全部集中在臺東市，南迴則是有一間洛馨托嬰中心在金峰，它是在去年4月份的時候開始啟用的，其他的鄉鎮則是完全都沒有托嬰中心。","quality":0.892},{"speaker":"陳委員瑩","start":"2026-05-26T11:07:09.719000+08:00","guessed":false,"end":"2026-05-26T11:07:44.065000+08:00","text":"所以我們以長濱來看，如果他們要把嬰幼兒送托的話，從長濱到臺東市的托嬰中心，最遠的距離有95公里這麼遠；而縱谷縣的鄉鎮未來可能在池上、鹿野，他們今年或明年應該會成立，因為也協助他們爭取到經費，但是目前是完全沒有的，所以這些鄉鎮的家庭當中，如果有嬰幼兒，除了自己帶以外，不然就是要找保母了。","quality":0.891},{"speaker":"陳委員瑩","start":"2026-05-26T11:07:45.266000+08:00","guessed":false,"end":"2026-05-26T11:08:10.163000+08:00","text":"我們政府在解決少子化的問題，建立友善托育環境是最基本的支持跟協助，如果每個鄉鎮都來建置托嬰中心的話，每個鄉鎮的需求量多寡是不一的，所以我們是不是可以在臺東來發展公共家園小型托嬰的服務？","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:08:10.163000+08:00","guessed":false,"end":"2026-05-26T11:08:33.195000+08:00","text":"這個公共家園的小型托嬰服務需要的規模沒有很大，經費或許也相對比較少，因為不需要再去蓋建築物，我們可以透過閒置的公共空間，由公辦民營的方式，以差不多4位托育人員照顧12名嬰幼兒這樣的規模來辦。","quality":0.942},{"speaker":"陳委員瑩","start":"2026-05-26T11:08:35.037000+08:00","guessed":false,"end":"2026-05-26T11:08:55.329000+08:00","text":"我有請衛福部盤點資料，臺東目前附設幼兒園的國小總共有37間，只要學校有閒置空間，我們就可以來規劃讓幼兒園照顧的學齡向下延伸，增加0到2歲的托嬰中心。","quality":0.969},{"speaker":"陳委員瑩","start":"2026-05-26T11:08:56.110000+08:00","guessed":false,"end":"2026-05-26T11:09:04.474000+08:00","text":"我想要請教院長，中央是不是可以積極協助我們臺東推辦公共家園的小型托嬰服務？","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T11:09:06.192000+08:00","guessed":false,"end":"2026-05-26T11:09:31.168000+08:00","text":"謝謝委員，我們在行政院即將要完成的臺灣人口對策新戰略的項下，除了大家關心的0到18歲每月5,000元，這是在安心生養這個面向底下，另外還有一個面向是強化托育，政府有幾個目前已經在做的各種托嬰、托育的機構，我們希望能夠廣設，但目前這個機構還是量能不足。","quality":0.954},{"speaker":"卓院長榮泰","start":"2026-05-26T11:09:31.908000+08:00","guessed":false,"end":"2026-05-26T11:09:50.381000+08:00","text":"其次，我們希望補助、協助企業能夠廣設，也希望政府的公部門、單位能夠設，但這些對臺東來講都不見得適用，所以我們另外對偏鄉應該還要有更加強的設施，因為企業不可能在那邊設很多，公部門也有限。","quality":0.94},{"speaker":"卓院長榮泰","start":"2026-05-26T11:09:50.941000+08:00","guessed":false,"end":"2026-05-26T11:09:54.744000+08:00","text":"再來，除了不足之外，更嚴重的還有一個不均：地理上的不均衡。沒錯。","quality":0.926},{"speaker":"卓院長榮泰","start":"2026-05-26T11:09:55.284000+08:00","guessed":false,"end":"2026-05-26T11:09:59.487000+08:00","text":"所以我們對偏鄉應該還要有一個重新細部的規劃，謝謝委員的提醒。","quality":0.821},{"speaker":"陳委員瑩","start":"2026-05-26T11:10:00.027000+08:00","guessed":false,"end":"2026-05-26T11:10:10.249000+08:00","text":"是，所以這個部分，因為特別是院長點出一個很重要的問題，我們臺東其實企業也沒有那麼多，相對比較小型一點。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:10:10.249000+08:00","guessed":false,"end":"2026-05-26T11:10:25.412000+08:00","text":"所以本席剛剛前面建議的，是不是可以由中央全額來補助開辦費，提供臺東人人力的協助，幫忙臺東推動公共家園小型托嬰服務，這個部分？","quality":0.965},{"speaker":"卓院長榮泰","start":"2026-05-26T11:10:26.233000+08:00","guessed":false,"end":"2026-05-26T11:10:47.371000+08:00","text":"馬上可以想像，就是把一個國小還有它的幼兒園、托嬰中心合起來為一，利用現有的國小設備或現有的教育資源，能夠補充一些師資、增加一些設備，也從經費上酌予相當的考量，是不是能夠就這樣子，至少把每個地區的基本量能給建構起來。","quality":0.918},{"speaker":"陳委員瑩","start":"2026-05-26T11:10:48.485000+08:00","guessed":false,"end":"2026-05-26T11:10:50.486000+08:00","text":"對，我們有相當迫切的需求。","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T11:10:50.806000+08:00","guessed":false,"end":"2026-05-26T11:10:53.027000+08:00","text":"這就是公共家園的概念，也許這樣會比較完整。","quality":0.737},{"speaker":"陳委員瑩","start":"2026-05-26T11:10:53.027000+08:00","guessed":false,"end":"2026-05-26T11:10:55.307000+08:00","text":"也謝謝院長的大力支持。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:10:56.148000+08:00","guessed":false,"end":"2026-05-26T11:11:11.593000+08:00","text":"其實我在3月的時候，當然我在衛環委員會也有質詢過這個題目，部長也非常地支持，我也希望衛福部能夠儘速來協助臺東盤點各鄉鎮的托嬰需求。","quality":0.883},{"speaker":"陳委員瑩","start":"2026-05-26T11:11:13.013000+08:00","guessed":false,"end":"2026-05-26T11:11:45.894000+08:00","text":"因為我的理解，衛福部應該仍然在很積極地盤點當中，我大概算了一下3月到現在，今天下午應該就可以回報我們辦公室了，也希望衛福部可以積極地來溝通協調，來確定這37所學校可以釋出閒置教室的意願，以及各鄉鎮托嬰的需求，讓我們儘快促成開辦第一間在臺東公共家園小型托嬰服務的部分。","quality":0.885},{"speaker":"石部長崇良","start":"2026-05-26T11:11:46.346000+08:00","guessed":false,"end":"2026-05-26T11:11:58.975000+08:00","text":"好，沒有問題，委員，我們會儘速來推動，就是以這些已經有附設幼兒園的優先，因為它的師資已經在了，只是把年齡再往下延伸，我們會優先來處理這個部分。","quality":0.81},{"speaker":"陳委員瑩","start":"2026-05-26T11:11:59.275000+08:00","guessed":false,"end":"2026-05-26T11:12:05.119000+08:00","text":"是，那盤點的部分，應該是下午再請同仁跟我們回報。好。","quality":0.909},{"speaker":"卓院長榮泰","start":"2026-05-26T11:12:05.119000+08:00","guessed":false,"end":"2026-05-26T11:12:09.222000+08:00","text":"我們會請教育部來協助這個事情，也跟地方政府都來共同協助。","quality":0.962},{"speaker":"陳委員瑩","start":"2026-05-26T11:12:09.674000+08:00","guessed":false,"end":"2026-05-26T11:12:10.814000+08:00","text":"好，謝謝。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:12:10.994000+08:00","guessed":false,"end":"2026-05-26T11:12:40.603000+08:00","text":"另外，提到少子化的議題，為提升生育率的問題，其實現在年輕人真的很可憐，就像一塊三明治被夾在中間，焦頭爛額，因為要照顧孩子，還要照顧老人、照顧父母，我們要讓年輕人敢婚、敢生、敢養，也要協助小朋友的托育問題之外，還有一個非常重要的一環，就是長輩的照顧。","quality":0.936},{"speaker":"陳委員瑩","start":"2026-05-26T11:12:40.603000+08:00","guessed":false,"end":"2026-05-26T11:13:29.939000+08:00","text":"我們來看一下歷年長照的經費，2016年之前長照十年的時候，長照的年度預算只有45億，我在2016年回到立法院的時候，當時小英總統，也跟著很多立委同仁一起努力推動長照2.0，在這八年當中，長照預算成長了20倍；2026年進入長照3.0之後，我們年度預算又已經破了千億元，一千一百多億，臺東的關懷據點還有文健站，從2016年原本的44站，在這十年當中，現在臺東已經總共有217站了，這個是政府對於老人照顧的用心跟重視。","quality":0.944},{"speaker":"陳委員瑩","start":"2026-05-26T11:13:30.639000+08:00","guessed":false,"end":"2026-05-26T11:13:43.593000+08:00","text":"但是我們進入長照3.0之後，我覺得長輩照顧的政策一定還要再有所精進跟調整，尤其在地形狹長的臺東。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:13:43.593000+08:00","guessed":false,"end":"2026-05-26T11:14:24.513000+08:00","text":"這張投影片是目前臺灣大多數長照住宿式機構的樣子，明亮乾淨，這是一個比較大型、集體式的生活，這是很多住宿式機構老人休閒活動時的情形，是一個大型團體式的型態，在這個制式化的生活當中，這樣的住宿式機構規劃大部分都是七、八十床，甚至上百床，如果床數沒有那麼多的話，這個機構可能就會虧損，甚至就倒閉關起來，這也是臺東的長濱為什麼一直都沒有辦法有住宿式長照機構的問題。","quality":0.933},{"speaker":"陳委員瑩","start":"2026-05-26T11:14:24.653000+08:00","guessed":false,"end":"2026-05-26T11:14:43.823000+08:00","text":"另外，臺東總共有16個鄉鎮，除了臺東市關山、大武以外，其他的住宿式資源不足的地區，也就是其他13個鄉鎮的長者，如果他有住宿式的照顧需求的話，就要離鄉背井，離開自己長年居住的地方。","quality":0.987},{"speaker":"陳委員瑩","start":"2026-05-26T11:14:44.803000+08:00","guessed":false,"end":"2026-05-26T11:15:07.990000+08:00","text":"我想在這邊跟院長分享一個老人照顧模式，叫做共生之家，這個共生之家是日本已經推行多年的照顧模式，他們需要的建築物就像一般民宅一樣，透過政府公辦民營的方式，將一般民宅規劃成規模大概四到五位老人的居住空間。","quality":0.894},{"speaker":"陳委員瑩","start":"2026-05-26T11:15:07.990000+08:00","guessed":false,"end":"2026-05-26T11:15:28.647000+08:00","text":"我們看一下投影片，這是日本共生之家長者居住的房間，就像住在家裡一樣；這是他們在屋內互動的情形，可以在互相陪伴的空間生活當中，自然互動的照顧之下，提升長者的生活品質跟身心健康。","quality":0.963},{"speaker":"陳委員瑩","start":"2026-05-26T11:15:29.288000+08:00","guessed":false,"end":"2026-05-26T11:16:01.711000+08:00","text":"尤其，他們可以在自己熟悉的環境、熟悉的社區，甚至熟悉的部落裡面，相當有尊嚴的被照顧，這才是一個真正在地老化、在地照顧的長照服務模式，而不是還要離開自己原本很熟悉、住了很久的地方，還要移到這麼遠的住宿式機構裡面，以很制式、被安排、被照顧的方式來生活。","quality":0.982},{"speaker":"陳委員瑩","start":"2026-05-26T11:16:03.431000+08:00","guessed":false,"end":"2026-05-26T11:16:08.433000+08:00","text":"我不曉得院長對於這樣子的建議、對這樣的模式看法如何？","quality":0.958},{"speaker":"卓院長榮泰","start":"2026-05-26T11:16:09.814000+08:00","guessed":false,"end":"2026-05-26T11:16:23.480000+08:00","text":"謝謝委員，委員剛剛有提到115年度，我們長照計畫1,153億，不比以前，光比去年就增加了將近25%，一年當中我們增加很多，因為政府看到這方面的需求。","quality":0.966},{"speaker":"卓院長榮泰","start":"2026-05-26T11:16:24.300000+08:00","guessed":false,"end":"2026-05-26T11:16:33.444000+08:00","text":"但是如何讓它更廣泛的涵蓋更多地方，不是用多少錢就馬上可以做到的，必須想出一個方法。","quality":0.947},{"speaker":"卓院長榮泰","start":"2026-05-26T11:16:34.324000+08:00","guessed":false,"end":"2026-05-26T11:17:06.719000+08:00","text":"我知道委員一直提到所謂共生家庭，就是政府來協助地方上能夠租一個房子、一個適當的建物，聘僱一些專業的照服員進來照顧這些長者，讓它成為一個居家醫療、居家服務的延伸，我認為這個策略、想法，會讓我們在這麼大的長照預算當中，更快把地方做更多均衡，我覺得這個創意是很好的，我也希望衛福部能夠往這個方向想，在偏鄉能夠採取這樣的方式，可以增加我們涵蓋率的速度。","quality":0.918},{"speaker":"陳委員瑩","start":"2026-05-26T11:17:07.919000+08:00","guessed":false,"end":"2026-05-26T11:17:14.963000+08:00","text":"還是回到我們臺東地形狹長的問題，所以我在這裡爭取，是不是可以從我們臺東優先試辦？","quality":0.919},{"speaker":"石部長崇良","start":"2026-05-26T11:17:16.805000+08:00","guessed":false,"end":"2026-05-26T11:17:35.740000+08:00","text":"跟委員說明，其實在3、4月的時候，之前有民間在試作了，只是一直沒有納入我們的長照體系，共生宅確實資源比較不足，它不足以形成一定的經濟規模，所以住宿式機構不足的地方，我們會優先試辦。","quality":0.975},{"speaker":"石部長崇良","start":"2026-05-26T11:17:36.320000+08:00","guessed":false,"end":"2026-05-26T11:17:47.831000+08:00","text":"我們討論大概有兩個優先試辦的地方，一個是原鄉原住民族地區，因為我們的族人從以前就比較有互助的精神……","quality":0.978},{"speaker":"陳委員瑩","start":"2026-05-26T11:17:47.831000+08:00","guessed":true,"end":"2026-05-26T11:17:49.693000+08:00","text":"所以我們臺東很適合，我們原住民人口很多。","quality":0},{"speaker":"石部長崇良","start":"2026-05-26T11:17:49.693000+08:00","guessed":false,"end":"2026-05-26T11:17:59.721000+08:00","text":"第二個就是缺乏誘因、地方的經濟規模不夠，不足以有住宿式機構建立的地方，我們會優先試辦。","quality":0.974},{"speaker":"石部長崇良","start":"2026-05-26T11:17:59.721000+08:00","guessed":false,"end":"2026-05-26T11:18:00.682000+08:00","text":"應該今年就會有試辦的計畫出來，現在已經開了幾次會議了。","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T11:18:05.806000+08:00","guessed":false,"end":"2026-05-26T11:18:21.751000+08:00","text":"有一個條件，必須找到一個適合的地點，委員對臺東地區非常了解，也勤走基層，如果委員有發現適當的地點，我們來做充分的合作，將臺東作為一個示範的地區，請委員幫忙。","quality":0.971},{"speaker":"陳委員瑩","start":"2026-05-26T11:18:22.011000+08:00","guessed":false,"end":"2026-05-26T11:18:23.212000+08:00","text":"好，我們一起來找，謝謝。","quality":0.333},{"speaker":"陳委員瑩","start":"2026-05-26T11:18:23.412000+08:00","guessed":false,"end":"2026-05-26T11:18:54.861000+08:00","text":"另外要提到，因為許多衛生所肩負偏鄉離島醫療的重責大任，特別臺東也是這樣的情形，雖然一般鋼筋混凝土建築的使用年限大概有5、60年，其實很多的建築，特別是靠海的，超過40年之後很多可能都出現耐震不足、牆面龜裂，還有管線老舊的問題，早期建築工法跟現在技術有相當的落差。","quality":0.991},{"speaker":"陳委員瑩","start":"2026-05-26T11:18:55.602000+08:00","guessed":false,"end":"2026-05-26T11:19:13.435000+08:00","text":"特別甚至早期還有很多海砂屋的情況，而且臺東很多靠海的衛生所，像太麻里、蘭嶼，受到海風鹽害的影響，建物老化情況很嚴重。","quality":0.846},{"speaker":"陳委員瑩","start":"2026-05-26T11:19:14.356000+08:00","guessed":false,"end":"2026-05-26T11:19:26.705000+08:00","text":"臺東衛生所跟都會區的衛生所有很大的差異，因為偏鄉衛生所同時要肩負醫療的服務項目，所以我們衛生所在偏鄉扮演的角色相當重要。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:19:27.205000+08:00","guessed":false,"end":"2026-05-26T11:20:12.890000+08:00","text":"臺東有16個衛生所，很多衛生所建築物都相當老舊，將近有一半比如屋齡30年到39年的，像關山、海端、卑南、東河；再來超過40年以上的有鹿野、太麻里、延平衛生所，這些都很需要重建，或者是耐震補強，甚至空間整修裝潢，所以我在這裡希望中央可以支持我們這些老舊的衛生所重建以及整修，這部分是不是特別從屋齡40年以上，我們可以優先來處理？","quality":0.934},{"speaker":"石部長崇良","start":"2026-05-26T11:20:15.007000+08:00","guessed":false,"end":"2026-05-26T11:20:33.524000+08:00","text":"跟委員說明，我們也有跟衛生局溝通，由衛生局先去盤點，當然屋齡是一個考量，另外屋況也很重要，當時候的建築到目前為止，它的老舊程度跟安全程度，這個都會一併納入考慮。","quality":0.986},{"speaker":"石部長崇良","start":"2026-05-26T11:20:33.644000+08:00","guessed":false,"end":"2026-05-26T11:20:45.188000+08:00","text":"目前看起來盤點之後，大概有5家會優先列為要改建或者是重建的，我們會優先支持。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:20:45.729000+08:00","guessed":false,"end":"2026-05-26T11:20:46.709000+08:00","text":"好，謝謝。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:20:46.869000+08:00","guessed":false,"end":"2026-05-26T11:21:03.796000+08:00","text":"我在這裡快速給院長一個數字，勞動部根據勞工健康保護規則事業單位大概300人以上要聘僱專任的護理師；50到300人中間大概就是聘僱兼任的護理師。","quality":0.65},{"speaker":"陳委員瑩","start":"2026-05-26T11:21:07.060000+08:00","guessed":false,"end":"2026-05-26T11:21:18.475000+08:00","text":"目前至少有5,300位，甚至粗估1萬的護理師轉任職場健康照護，這個重要的數據，我給院長參考。","quality":0.378},{"speaker":"陳委員瑩","start":"2026-05-26T11:21:18.475000+08:00","guessed":true,"end":"2026-05-26T11:21:35.654000+08:00","text":"也謝謝勞動部最近他們很低調的預告修正的職業健康保護規則第三條、第七條增訂公共衛生師可以投入職場照顧，目前勞動部不曉得有沒有評估多少的公衛可以從事這個事情？","quality":0.027},{"speaker":"主席","start":"2026-05-26T11:21:35.654000+08:00","guessed":false,"end":"2026-05-26T11:21:35.934000+08:00","text":"好，謝謝。","quality":1},{"speaker":"陳委員瑩","start":"2026-05-26T11:21:35.934000+08:00","guessed":true,"end":"2026-05-26T11:21:43.768500+08:00","text":"本席在這裡建議，未來有機會讓更多其他類型的醫事人員可以投入職場照護的行列，我特別提供這些數據。","quality":0},{"speaker":"卓院長榮泰","start":"2026-05-26T11:21:43.768500+08:00","guessed":true,"end":"2026-05-26T11:21:51.603000+08:00","text":"以上我們再用書面跟委員報告，以及會後再跟委員說明。","quality":0},{"speaker":"主席","start":"2026-05-26T11:21:51.603000+08:00","guessed":false,"end":"2026-05-26T11:21:55.570000+08:00","text":"謝謝，請行政部門書面答復陳委員所提的資料需求。","quality":0.81},{"speaker":"主席","start":"2026-05-26T11:21:56.070000+08:00","guessed":true,"end":"2026-05-26T11:22:02.070000+08:00","text":"謝謝陳瑩委員質詢，謝謝卓院長、相關部會首長備詢。","quality":0},{"speaker":"主席","start":"2026-05-26T11:22:02.370000+08:00","guessed":true,"end":"2026-05-26T11:22:09.512857+08:00","text":"接下來我們今天口頭質詢最後一位委員，請陳昭姿委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}